Individual
BLAKE AARON KOOIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
982055 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2055
(402) 559-7738
Mailing address
982055 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2055
(402) 559-7738
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9046
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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